HomeMy WebLinkAbout2613 SOMBROSA ST; ; 86-319; Permitfl) z 0 ~ C a: C ~ 0 Ill 0
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Ix) I hereby affirm that I am licensed under
provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Professions Code, and my license Is In
full forc.e~114.f'-fr t. . • B 1
lie No 'L c,~L ....... ,c..5,..,6...,'--_ Class -~~---
I hereby affirm !hat I am exempt from the Contrac-tor's Lteense Law !or the following reason {Sec 7031 5
Business and Professions Code: Any city or county which re-quires a permit to construct, alter Improve, demolish °'
repair any structure. pnor to its issuance also reqwres !heap-plicant lor such permit to me a s,gned statement Iha! he 1s
licensed pursuant lo !he prov1s1ons ol tile <.:ontracto,·s License Law (Chapter 9 commencing w11h Sechon 7000 ot
Dtv1s1on 3 or the Business aoo Proless1ons COde) or that tS ex-
empt therefrom an<l the basis tor lhe aUegeo exemption My
v1otauon of Section 7031 5 by an applicant for a perm11 sub·
Iects lhe applicant to a CMI penalty ol not more than hve hun• dred dollars ($500)
n I, as owner o1 the property, or my employees w1Ih wages as their sole compensation. w,u do !he work, and the struc•
lure is not intended or offered for sale (Sec 7044, Busmess
and Profes~ons Code The Contractor's license Law does no1 apply lo an owner of p1oper1y who builds Of 1mproves
!hereon aoo wh-0 does such work h1msell or through his own
employees. provided lhat such improvements are not intend•
ed or offered for sale fl, however !he buI1dmg or ,mp rove·
ment Is sold w1thm one year of completlOn. lhe owner•bmlder wtll have the burden ol proving that he did not bu,ki or 1m• prove lor the purpose of sale)
D l, as owner o1 the property, am exclusively contracting
with licensed contractors to construct the project (Sec 7044,
Business and ProfesstOns C~ The Contractor's License Law does not apply 10 an owner of property who builds or im-
proves !hereon. and who contracts for each protects with a
E:)actor(s) hcense pUrsuant 10 the Contractor's License
D As a homeowner I am improving my home. and the lollow-ing cond1lions eKIsI
1 The work 1s being performed pnor to sale.
2 I have hved m my home for tweNe months
3 r':v~O :f P~:~o1 tt~t~ :~!~pllon durmg the last three years
0 I am exempt under Sec. ______ • B & P C
!Of this reason
G I hereby affirm that I have a certificate ot consent to
S~insure. or a certificate of Workers Compensation In•
surance. or a cen1hed copy thereof (Sec. 3800. Labor Code),
POLICY NO C 1972 6 587
COMPANY INA
~ Copy IS filed with the c,ty
0 Cerlified copy is hereby· furnished
CERTIFICATE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
(Th,s section need not be completed if the pern\t
,s for one hundred dollars ($100) o, less)
D I certify that in the performance of the work for which
1h1s permit 1s issued. I shall not employ any person in any
manner so as to become subject 10 the Wo,kers· Compen.
satI00 Laws of California.
NOTICE TO APPLICANT. If. alter making this Certificate
of Exemptton. you should become subject to the Workers·
Compensation provisions of the Labor Code, you musl
forthwith comply with such provisions or this perm ft shall
be deemed revok.ed.
0 I hereby affirm that there is a construction lending
agency for 11,e performance of lhe work for which 1h15 per-
mit is issued (Sec. 3097. Civil Code)
Lender's Name ____________ _
Lender"s Address, _______ _
--. -
______ . -····. ___ -··-· _. ··---······-,.,..,..L,,.,,.,-., ,v r-1LL mr m1rvnrvt~IIVl'1 WIIMll'4 :SMAUt.UAHEAANO DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT .~
, Carlsbad, California 92008·1989 (619) 438-5525 APPLICATIO~ PERMIT
JOB ADDRESS AV.ST.AO. NEAREST CROSS ST. IOATE Of APPLICATION' BUSINESS,--NSE # VALUATION r;R~T NUMBER
2613 Sombli.o.6a. St. L0-6 Pino.6 VJt . 3/14/86 I 50952 \ /~ ~
LOT BLOCK j sueo1v,s10N j A5~~P~C_:L fl 'J. -f).:J. CONTRACTOR CONTRACTORS PHONE• ZONE ,3 / q
owNER·s NAME I -owNrn·s PHONE So,f_all, EclLOO!td6 438-2600 I
CONTRACTOR'S ADDRESS LICENSE NO PLAN 1.0. # BUILDING SQ. FOOTAGE M/M fln,i]-lv,111 942-3485
o wNER's MAIL NG ADoREss 2460 Impala. V1t., Ca.lli..6ba.d 433361
Sa.me, DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK
-~n/nh Hof'. flln+l)h DESIGNER'S ADDRESS LICENSE NO
~ --F/P FLA ELEV. NO OCC GP EDU
STORIES
YO r-.0 --. ·., •
CENSUS TRACT I GP LANO USE I PARKING SPACE I AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE occ LOAD FIRE SPP S/2 l ,86ti!:l I 7 'I 5~00
YO N O A.REA vO "O CONST vO NO D~Ha~JJJess Ad~Fn)fe,~Ad '15 ,OC)
QTY. PLUMBING PERMIT· ISSUE "J' ~ QTY. MECHANICAL PERMIT· ISSUE :;>-SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INSTALL FURN. DUCTS UP TO 100.000 BTU BUILDING PERMIT 001-810·00·00·8220
EACH BUILDING SEWER OVER 100,000 BTU SIGN PERMIT 001-810-00·00·8221
EACH WATER HEATER AND/OR VENT BOILER/COMPRESSOR UP TO 3 HP PLAN CHECK 001·810-00-00-8806 -
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP TOTAL PLUMBING 001·810·00-00-8222
EACH GAS SYSTEM 5 OR MORE METAL FIREPLACE ELECTRICAL 001·810·00·00-8223
EACH INSTAl . ALTER. REPAIR WATER PIPE VENT FAN SINGLE DUCT MECHANICAL 001·810·00·00·8224
EACH VACUUM BREAKER MECH EXHAUST HOOD DUCTS MOBILEHOME 001·810-00-00-8225
WATER SOFTNER RELOCATION OF EA FURNACE/HEATER MOBILEHOME PARK INSP
EACH ROOF DRAIN (INSIDE) SOLAR 001-810·00·00·8226 / .5
TOT t.L MECHANICAL STRONG MOTION 880-519-92·33
TOT AL PLUMBING J ,__ FIRE SPRINKLERS --;1-810-oo-00•8227 t----------,
QTY. ELECTRICAL PERMIT . ISSUE ,5" _ QTY. SOLAR . ISSUE PUBLIC FACIL:TIES FEE 332·8l0·00·00·8930
NEW CONST EA AMP'SWT BKR COLLECTORS SCHOOL FEE •1 DISTRICT
1 PH 3 PH STORAGE TANKS A Carlsbad
EXIST BLDG EA AMP1SWT BKR ROCK STORAGE /JU~ Encinitas
1 PH 3 PH PUMP ,._ V San Diegu1to
REMODEL ALHR PER CIRCUIT PLAN CHECK FEE{Y A O , San Marcos
TEMPPOLE 200AMPS / /,/1./-
---,-,;-t:,,r:.,....~------t-------11t--.=a=--.-..;a-;:--;.,--_,------:-:--:-c-::cc-::c--,--t----------OVER 200 AMPS f '\ A j JYJ/ _/ LICENSE TAX 001-810·00·00·8162
TEMP OCCUPANCY 130 DAYS) \._ A'){P ~ MFF 880·519·92·57
/ / CREDIT DEPOSIT
TOTALELEClRICAL I l/ TOTAL SOLAR ' TOTAL FEES PAYABLE l /S-1/
I HAVE CAREFULLY EXAM,NED THE COMPLETED APPLICATION ANO PERMIT" AlsO 00 HEREBY E,pirat,on Every permit issued by the Bu1ld1og Ofl1c11I under the prov1510nsoflh15 * AN OSHA PERM,T IS REQUIRED FOR EXCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall expire by flm1tat10n and become null and •01d ft lhe bu1fd1ng or work 5 0·· DEEP ANO DEMOLITION OR CONSTRUCTION 0 ~ authorized by such permit 1s not commenced within 180days from the date ot such DECLARATIONS ARE TRUE ANO CORRECT AND I FURTHER CERTIFY ANO AGREE IF A PERMIT IS permit or 11 the building or work authonzed by such permit ,s suspended or STRUCl\JR£S OVER J STORIES IN HEIGHT
ISSUED TO COMPLY WITH ALL CITY COUNlY AND STATE LAWS GOVERNING BUILDING CON• L.::.•b~•:::;n~do~n.:.:ed:::...::a:!..t ~•n~w~l:::;•m.:.:•~•:::;ft:!.er!..ct!!!he!...!:w!!.or~k_.:;1s!..c~o:::;m~m!.!!e~n~ce~d:..;f~o;_r !!..•= oer~">~do'.!..f .!.!16~0c!,d!!!a.r_;y,s.____4 __ !"!"",...~"'""----------------....oll STRUCTION, WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INOEMNIFY29ANO . 0 ra APPROVE~ 0 E KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS AND A.!'.PLICN ~TS SIGNATURE 'f. OWNER CONTRACTOR •4 AT
EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE fl (\ B O rJ ~
GRANTING OF THIS PERMIT J Jl Y _A..,, _I.A~~ y PH NE ~ f' (,, tf td
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TYPE I DATE INSPECTOR
I
BUILDING I '6l, _, 3 I 9
FOUNDATION I FIELD INSPECTION RECORD
REINFORCED STEEL ' I REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
MASONRY '
GUNITE OR GROUT I INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL
SUB FRAME □ FLOOR □ CEl~ING
SHEATHING □ ROOF □ SH£AR
SOILS COMPLIANCE . PRIOR TO
FOUNDATION INSP
FRAME I
EXTERIOR LA TH I
I
STRUCTURAL CONCRETE
OVER 2000 PSI
INSULATION I PRESTRESSED -CONCRETE
INTERIOR LATH & DRYWALL I POST TENSIONED . I CONCRETE
I
PLUMBING I FIELD WELDING
□ SEWER AND BUCO □ PL/CO
UNDERGROUND D WASTE D WATER
TOP OUT D WASTE D WATER
HIGH STRENGTH
BOLTS
SPECIAL MASONRY
·TUB AND SHOWER PAN I
GAS TEST I
I PILES CAISSON"'
• D WATER HEATER D SOLAR WATER
l
ELECTRICAL I
D ELECTRIC UNDERGROUND □' UFFER
ROUGH ELECTRIC I
D ELECTRIC SERVICE D TEMPORARY
D BONDING D POOL I ,. , ~-
4~~·-....-
' ,..._
I ,.-; , . I :, --n
MECHANICAL I -
'-I
D DUCT & PLEM., D REF. PIP,NG I
+!EAT -AIR COND. SYSTEMS I
I
VENTILATING SYSTEMS I
l -
C OR FINAL /NSPECTf.'_
ITEMS ABOVE HAVE BEEN APPR0V~D.
FINAL
PLUMBING
ELECTRICAL
MECHANICAL .,
GAS
BUILDING .
SPECIAL CONDITIONS